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初级创伤救治课程的效果如何:结果是否令人满意?

Effectiveness of the Primary Trauma Care Course: Is the outcome satisfactory?

机构信息

Dr. Masood Jawaid, MCPS, MRCS, FCPS, Assistant Professor Surgery, Dow University of Health Sciences, Karachi - Pakistan.

Dr. Ayaz Ahmed Memon, MCPS, MRCS, FCPS, Fellowship in Trauma and General Surgery.

出版信息

Pak J Med Sci. 2013 Sep;29(5):1265-8. doi: 10.12669/pjms.295.4002.

Abstract

OBJECTIVE

To assess the improvement of knowledge and skills of trauma management among participant of Primary Trauma Care (PTC) workshop.

METHODS

A two days Primary Trauma Care (PTC) provider workshop was organized at Dow International Medical College, Karachi - Pakistan on March 5(th) and 6th 2011. Participant's knowledge was assessed by 30 Best Choice Questions (BCQs) and their trauma management skills were assessed by management of trauma case scenario both at pre and post workshop. All scenarios performed by participants were video recorded and marked on a 20 points check list and evaluated by two PTC trainers and graded after consensus. Percentage of participants who scored more than 70% marks on knowledge and skills component were also analyzed. Data was analyzed by SPSS version 17. Wilcoxon Sign Rank test was used to find out significant difference between pre and post workshop score.

RESULTS

A total of 20 participants attended the full workshop. Median One best question score before the workshop was 19.5 and post workshop was 25 (p<0.0001). Trauma skills scenario score also showed marked improvement with median score of 3.5 pre workshop and 9.5 post workshop (p<0.0001). Total 19 participants had ≥70% post workshop knowledge score. However, only 4 participants had trauma skill score with ≥70 marks.

CONCLUSION

Primary Trauma Care workshop could be an effective course for gaining of knowledge and skills of initial management of trauma patients. However, some modifications need to be done for training of skills components to maximize the output of this interactive workshop.

摘要

目的

评估初级创伤救治(PTC)培训参与者创伤管理知识和技能的提高。

方法

2011 年 3 月 5 日和 6 日,在巴基斯坦卡拉奇的道国际医学院组织了为期两天的初级创伤救治(PTC)提供者培训。通过 30 道最佳选择题(BCQs)评估参与者的知识,通过创伤病例情景管理评估其创伤管理技能,分别在培训前后进行。所有参与者的情景演练都进行了录像,并根据 20 分检查表进行标记,由两名 PTC 培训师进行评估并达成共识后评分。还分析了在知识和技能部分得分超过 70%的参与者的百分比。使用 SPSS 版本 17 进行数据分析。采用 Wilcoxon 符号秩检验比较培训前后的得分差异。

结果

共有 20 名参与者参加了完整的培训。培训前的最佳问题单项得分中位数为 19.5,培训后为 25(p<0.0001)。创伤技能情景得分也有明显提高,培训前的中位数评分为 3.5,培训后的中位数评分为 9.5(p<0.0001)。19 名参与者的培训后知识得分≥70%。然而,只有 4 名参与者的创伤技能得分≥70 分。

结论

初级创伤救治培训可以是获得创伤患者初步管理知识和技能的有效课程。然而,为了最大限度地发挥这种互动式培训的效果,需要对技能部分的培训进行一些修改。

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